Awake nasotracheal intubation for a 4-year-old boy with an oral penetrating toothbrush injury

Naoya Kobayashi, Kokichi Ando, Kazutomo Saito, Hiroaki Toyama, Hiroto Fudeta, Masanori Yamauchi

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)

Abstract

We report a case of an oral penetrating injury caused by a toothbrush in a 4-year-old 17-kg boy. The toothbrush was lodged in the right cervical region through the oral cavity, and emergency surgery for removal was planned under general anesthesia. Although mask ventilation was not possible because of the protruding toothbrush handle, awake nasotracheal intubation was successfully performed with a fiberscope and intravenous fentanyl 25 μg. We conclude that appropriate analgesics could facilitate awake intubation in pediatric patients.

Original languageEnglish
Pages (from-to)981-984
Number of pages4
JournalJapanese Journal of Anesthesiology
Volume64
Issue number9
Publication statusPublished - 2015 Sep 1

Keywords

  • Airway
  • Child
  • Toothbrush
  • Trauma

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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